Exchange 2019 Group Registration Form

Attendee Registration Form for Group Discounts - Policy, Pricing and Descriptions

All group members must be from the same hospital, health system, or contract company and must submit registration at the same time.
Within 2 business days, your primary contact will receive an invoice for your group.
The group discount is only available to those who work in a health care setting, and is not available to vendors or those located in a regional or corporate office.
Government registrations are not eligible for the group discount.
By submitting this form, you agree to the discount policy outlined below.

Before you begin this form it is helpful to have the following information on-hand:

The name, title, and email address of the group contact (required)
The number of beds, size of department, budget cycle, and total departmental budget (optional)
The name, title, and designations for each attendee (required)
The email address and phone number for each attendee (required)
The address for each attendee, if different from the organization address (required)
An emergency contact for each attendee (required)
Years of experience (required) and highest level of education for each attendee (optional)

Discount Policy

This discount only applies to full conference registration. No discount is given for memberships, guest passes, or pre-conference sessions. Group discount is open to both members and non-members who work in a setting that provides direct patient care. The group discount is not open to vendors or those who work in a corporate, regional, or district office.

No refunds will be given for any registration that is part of a group discount. If you register using a group discount and can no longer attend, please contact the AHE for more information regarding how to transfer your registration to another individual from your organization.

Group discounts may be added retroactively and may count toward the every-third rule. however, no refunds will be given for registration fees already collected. If you discover that three or more people from your organization are attending Exchange, we will retroactively apply the discount so that you may register one additional person at the discounted rate.

Previously cancelled and refunded registrations are not eligible to use the discount up re-registering.

AHE reserves the right to cancel any registrations that use a discount not belonging to their organization. Registrations cancelled for discount misuse will not be refunded and any balance due following the removal of the misused discount will be required to reinstate the registration.

Pricing

To view this year's pricing and preconferences, please visit : https://s6.goeshow.com/ahe/exchange/2019/pricing.cfm

On this form, you can submit up to 12 registrations at a time. If you need to register additional attendees, please submit an additional form.

Please contact us if:

Any of your attendees require special accommodation
Any of your attendees would like to volunteer for Exchange
Any of your attendees would like to add the CHESP Breakfast or First Time/New Member event to their registration
Any of your attendees would like to add a guest to their registration

You can contact us at ahe@aha.org